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Ail fooo venaors (both for profit and non-profit' <br />1 <br />2 <br />Actress <br />Phone <br />3 <br />4 <br />5. <br />5 <br />S Aporoved bottled water <br /> On-stte hose bib that is connected to a potable water source <br />7 <br />to measure the hot and cold hoWiog of pote”.ba!*Y hazaroous3 <br />9 <br />I <br /> Other (specrfyi <br />Electncity is provided for my booth's use £] Yes No <br /> Stemo & hotel trays <br /> Steam table & 'rJs <br /> Other (specify) <br /> Camp stove <br /> Doubt© ilwmer <br /> Etectnc stove lop <br /> Other (specify)_____________________________________ <br />Note: The only operations not requires to provide enclosed booths are those which se i t?ev'erages from <br />approved dispensers, or prepackaged foods from approveo sources <br />Approved water for drinking, utensil and hand washing will oe prov<ded in my booth by the foltowing methetos <br />i am providing the following hot temperature control for the hot holding of all potenbaiN hazardous tocos abov <br />135T <br />I am providing an accurate probe thermometer to meast <br />foods during ali times of booth operation B Yes Q No <br /> Name of organizatjon/business <br /> Uz <A\-t k-. <br />Lrst food to be soto or given to the public.----- <br />, am provtomg food that is NOT prepared at home Yes No <br />All food is prepared on-srte orjs from approveo commercial facilities No <br />NameoffcciW <br /> Address of faokty \AiH ^3---------------------- ----------------------- <br />I am providing a booth with the foUowtng: (to protect my unpackagec food and food-preparation areas from .,-es. <br />dust and the public) <br />ra A booth with walls and ceding constructed of either wood canvas, ptasbc similar material and foe mesh fly <br />screenma completely enclosing open food areas. It will also have a smooth and cteanaoie .co- concrete <br />asphalt, dean tarps and smooth wood are acceptable) and constructed to separate food and food preparatror <br />areas from the public <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />AB food vendors (both for profit and nonprofit' are required to return a signed and compreted copy of thrs checWst to <br />die festival coordinator three (3) weeks prior to this event <br />,,r.^ Atrvrh onu;------------ <br />The foowmg <s ..ntormabon about my orgamzatxxvbusmess r<\ <br />\S\Wve23____ <br />» C v < \Al<u ^^"3_________ _ <br />_ Alternate. ( <br />'Vood